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WorksheetsGCC 1301 - 1325
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
When assessing a patient with anemia from acute blood loss, the nurse would expect to find which of the following?
a)
Sudden onset of symptoms, hypotension, and tachycardia
b)
Exertional dyspnea, poor nutrition, and hypotension
c)
Sudden onset of symptoms, glossitis, and tachycardia
d)
Fatigue, neuropathy, and tachycardia
e)
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2.
Which nursing action is most appropriate immediately following the removal of a nasogastric tube?
a)
Providing mouth care
b)
Auscultating bowel sounds
c)
Offering fluids
d)
Checking for abdominal distention
e)
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3.
A post-operative client has called the nurse's station with complaints of pain. The first action by the nurse should be to:
a)
Check to see when the client received pain medication
b)
Administer the prescribed pain medication
c)
Notify the charge nurse of the client's complaints
d)
Assess the location and character of the client's pain
e)
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4.
A client newly diagnosed with diabetes is started on Precose (acarbose). The nurse should tell the client that the medication should be taken:
a)
1 hour before meals
b)
30 minutes after meals
c)
With the first bite of a meal
d)
Daily at bedtime
e)
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5.
When planning a class for primigravid clients about the common discomforts of pregnancy, which of the following physiologic changes of pregnancy should the nurse include in the teaching plan?
a)
The temperature decreases slightly early in pregnancy.
b)
Cardiac output increases by 25% to 50% during pregnancy.
c)
The circulating fibrinogen level decreases as much as 50% during pregnancy.
d)
The anterior pituitary gland secretes oxytocin late in pregnancy.
e)
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6.
A client provides a list of medications for the nurse. The medications include atorvastatin (Lipitor), clopidogrel (Plavix), and phenelzine sulfate (Nardil). Which statement indicates the client requires further education regarding medications?
a)
I'm looking forward to my birthday celebration tonight. I'm even going to have wine with my meal!
b)
I've finally begun using an electric razor to shave. That was hard to change over.
c)
My doctor took me off my other blood thinner when he started me on that cholesterol medication.
d)
I wish I could have chocolate again. I miss having a candy bar every once in a while.
e)
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7.
Before advising a 24-year-old client desiring oral contraceptives for family planning, the nurse would assess the client for signs and symptoms of which of the following?
a)
Anemia.
b)
Hypertension.
c)
Dysmenorrhea.
d)
Acne vulgaris.
e)
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8.
A client is complaining of pain rated an 8 out of 10 on the numeric pain scale. The nurse administers an oral pain medication to the client and starts a CD of the client's favorite relaxing music. Fifteen minutes later, the client rates the pain as 2 out of 10 on the numeric pain scale. What type of nonpharmacologic pain relief intervention has the nurse used?
a)
Distraction.
b)
Biofeedback.
c)
Progressive relaxation.
d)
Cutaneous stimulation.
e)
-
9.
A male client and his partner have decided not to have more children. The client requests information about permanent, male birth control options. The nurse explains:
a)
Vasectomy is a highly effective and safe surgical procedure.
b)
Abstinence should be considered rather than vasectomy.
c)
Permanent solutions, such as vasectomy, cannot be reversed.
d)
Vasectomy is a surgical procedure covered by insurance.
e)
-
10.
A client complains of crushing chest pain 3 hours prior to arrival in the emergency department. Initial vital signs show hypotension; a weak, thready pulse; cool, clammy skin; and confusion. Which intervention should the nurse perform first?
a)
Airway management.
b)
Intravenous access.
c)
Obtaining an EKG.
d)
Preparing for intra-aortic balloon pump.
e)
-
11.
A client who takes warfarin sodium (Coumadin) requires blood testing to guide treatment. The client requests the implanted venous access device be utilized. Which test should not be drawn from the device?
a)
Complete blood count.
b)
Metabolic panel.
c)
Lipid profile.
d)
Protime.
e)
-
12.
The nurse is providing dietary teaching regarding low-sodium diets for a client with hypertension. Which food should be avoided by the client on a low-sodium diet?
a)
Dried beans
b)
Swiss cheese
c)
Peanut butter
d)
American cheese
e)
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13.
A client is diagnosed with left subclavian artery obstruction. What additional findings would the nurse expect?
a)
Memory loss and disorientation
b)
Numbness in the face, mouth, and tongue
c)
Radial pulse differences over 10bpm
d)
Frontal headache with associated nausea or emesis
e)
-
14.
Which finding is the best indication that a client with ineffective airway clearance needs suctioning?
a)
Oxygen saturation
b)
Respiratory rate
c)
Breath sounds
d)
Arterial blood gases
e)
-
15.
A virus exists that has the potential to cause significant morbidity and mortality globally; killing more Americans every year than any other infectious disease, including AIDS. This virus causes acute viral respiratory illness which is usually self-limited. Which virus does this describe?
a)
Adenovirus.
b)
Enterovirus.
c)
Influenza.
d)
Paramyxoviruses.
e)
-
16.
A 32-year-old multigravida returns to the clinic for a routine prenatal visit at 36 weeks' gestation. She has had a prior pregnancy with pregnancy-induced hypertension. The assessments during this visit include BP 140/90, P 80, and +2 edema of the ankles and feet. Based on the client's past history and current assessment, what further information should the nurse obtain to determine if this client is becoming preeclamptic?
a)
Headaches.
b)
Blood glucose level.
c)
Proteinuria.
d)
Edema in lower extremities.
e)
-
17.
The LPN/LVN is caring for a client with Clostridium difficile (C. difficile). Which of the following observations indicates to the nurse that the client's condition is improving?
a)
Increased watery stools
b)
Malaise
c)
Anorexia
d)
Moist mucous membranes
e)
-
18.
The nurse is assessing the deep tendon reflexes of the client with hypomagnesemia. Which method is used to elicit the biceps reflex?
a)
The nurse places her thumb on the muscle inset in the antecubital space and taps the thumb briskly with the reflex hammer.
b)
The nurse loosely suspends the client's arm in an open hand while tapping the back of the client's elbow.
c)
The nurse instructs the client to dangle her legs as the nurse strikes the area below the patella with the blunt side of the reflex hammer.
d)
The nurse instructs the client to place her arms loosely at her side as the nurse strikes the muscle insert just above the wrist.
e)
-
19.
A client fell at home and sustained a back injury. The client reports back pain and the inability to play golf or go to the store. The client remains at home most of the time due to the pain. Which nurse's note includes all of the elements of a complete pain assessment?
a)
The client's back pain began 6 months ago and has been constant since the fall. The pain is located in the mid-lower back area, is rated a 6 out of 10 on the numeric pain scale, and is described as a constant, dull ache. The pain is made worse by ambulating or standing for more than 5 minutes. The client uses a hot water bottle over the back for some relief at night. The client denies other symptoms related to the back pain. The client reports being unable to play golf since the fall, go to the store, and remains at the home most of the time due to the pain.
b)
The pain is rated a 6 out of 10, and is a constant, dull ache. The client uses a hot water bottle over the back for some relief at night. The client reports being unable to play golf since the fall, go to the store and remains at the home most of the time due to the pain.
c)
The client's back pain began 6 months ago after a minor fall in the kitchen. The pain has been constant since the fall. The pain is located in the mid-lower back area and is rated a 6 out of 10 on the numeric pain scale.
d)
Client reports pain began after a fall and the pain has limited his physical activity and does not seem to be improving.
e)
-
20.
Which of the following signs is one of the earliest indications of cardiogenic shock?
a)
Cyanosis
b)
Decreased urine output
c)
Presence of a fourth heart sound (S4)
d)
Altered LOC
e)
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21.
A child with scoliosis has a spica cast applied. Which action specific to the spica cast should be taken?
a)
Checking the bowel sounds
b)
Assessing the blood pressure
c)
Offering pain medication
d)
Checking for swelling
e)
-
22.
The nurse should visit which of the following clients first?
a)
The client with diabetes who has a blood glucose of 95mg/dL
b)
The client with hypertension being maintained on Lisinopril
c)
The client with chest pain and a history of angina
d)
The client with Raynaud's disease
e)
-
23.
A 30-year-old G 4, P 3 client at 30 weeks' gestation is admitted to the hospital for evaluation. The client has experienced two neonatal deaths because of hemolytic disease of the newborn. An amniocentesis is to be performed to evaluate bilirubin density. The nurse should obtain a specimen container that is which of the following?
a)
Dark.
b)
Clear.
c)
Green.
d)
Amber.
e)
-
24.
A factory worker is brought to the nurse's office after a metal fragment enters his right eye. The nurse should:
a)
Cover the right eye with a sterile 4x4
b)
Attempt to remove the metal with a cotton-tipped applicator
c)
Flush the eye for 10 minutes with running water
d)
Cover both eyes and transport the client to the ER
e)
-
25.
Which technique is correct for administration of ear drops to a 3-year-old?
a)
Hold the child's head up and extended
b)
Place the head in chin tuck position
c)
Pull the pinna down and back
d)
Irrigate the ear before medication administration
e)
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